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MAY ~0 '9~ 14~~5 PRUDENTIAL <br />~r <br />~~Lid~1~_ <br />COI~AMUNICATIONS INC. <br />INST <br />----•--------- -------------------- <br />Company Name: SALEM D~N'fAL ~ENI-~R <br />Addr~~~: 1~6i"1 LI~iERTY 3"fRE~T <br />City: SAL~M ST; <br />Tect~~nician: DONNA <br />Sy~.~t~m Ty~se; t~S01 LIGI'Yal. <br />P. 1~ <br />...~ <br />P.O. Box 20031, KE#ZER, OR. 97307, (503} 393-7614 <br />RLLATION/MAC OROER <br />------------------------------------------ <br />Qrde~ #: i37707-00 <br />5E Phone #z (503)363-^c337 <br />QR Zip: 97?,O1 Custo~ner #: 128G <br />P.O. Numberc <br />Cut Date: ~31^c5/97 Softwaret <br />Is~stalled By: RE~IANT LD Ca~rier: Sale~ Perso~: RE~IANT <br />Tak~n By: DW SEr~ice Coda: Date Du~: ~?4/23/97 <br />D~t~ Called In: 04/~~/97, 1:~4 pm Etilli~g Codes HILLABLE <br />Site Cant~,ct: ^ <br />Wark Ta &e Per-for~r:ad: <br />1 LAPEL CLIP $4,5b <br />1 ~10ICE TUBE ~9.95 <br />TO7Hl Hk <br />QUANTI'rY MA"fERiAL ~ PRICE AMOUI~IT <br />c.r..:ca.._=_ _~.:s~ac~=::---_~.:.:__ ::..r=¢....-~=~_az:c~ac_=aoessasW.cc=ac~~c=aes=~zia <br />~~~ <br />---1=--~~~:~-~_ ~'~ .------ --~------------ ----=' --------------~ ~~ - <br />-! =------r~~~_--~~~__.__.--.--------------------------------~=-~= <br />-----~----------.------~ ----------.--------------------------------------- . <br />TeEh Date ~tart Stap: <br />, •~ <br />PREMISE vISIT ~ <br />~AF~OR • <br />MATER I ALS ~~~,~ ~ <br />SALES TAX <br />CU~a'1'OMER ACCEPTANCE • <br />X~ '' ~ TOTAL AMOUNT DUE ~y S~S <br />